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HomeMy WebLinkAbout131769 PATRICK PLUMBING & HEATING LLC - INSURANCE CERTIFICATEACORD, CERTIFICATE OF LIABILITY INSURANCE 1ATE (MMA 0/11/070VVYY) PRODUCER Flood & Peterson Insurance Inc 4821 Wheaton Drive THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURERA United Fire & Cas Patrick Plumbing & Heating, L L C INSURER B 3600 Horsetooth Court I INSURER Fort Collins, CO 80526 INSURER D INSURER E COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS TRW M-n SR LTR NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MMIDDIYY POLICY EXPIRATION DATE MMIDOIYY LIMITS A GENERAL LIABILITY X COMMERCIAL GENER�AL LIABILITY CLAJ 15 MADE �J OCCUR X PD Ded 1,000 60073860 10/01/07 10/01/08 EACH OCCURRENCE $1000000 PREMGE TO RENTED best$100 000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN L AGGREGATE LIMIT APPLIES PER POLICY JECT LOC PRODUCTS COMPIOPAGG $2000000 A AUTOMOBILE LIABILITY ANYAUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS 60073860 10101/07 10/01/08 COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY Person) (Per Pe $ X X BODILY INJURY (Per accident) $ PROPERTY DAMAGE (Per accident) $ _ GARAGE LIABILITY ANY AUTO AUTOONLV EAACCIDENT $ OTHERTHAN EA ACID AUTO ONLY AGO $ $ A EXCESSIUMBRELLALIABILITY X OCCUR F CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 60073860 10/01/07 10/01/08 EACH OCCURRENCE $1000000 AGGREGATE $1 000 000 $ $ WORKERS COMPENSATION AND EMPLOYERS .ABILITY ANY PROPRIETOR/PARTNERIEXECUTIVE OFFICER/MEMBER EXCLUDED' If yes describe under SPECIAL PROVISIONS be WC STATU I OTH iORV LIMA FR $ EL EACH ACCIDENT EL DISEASE EA EMPLOYEE $ E L DISEASE POLICY LIMIT $ OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Re Contractors License City of Fort Collins P O Box 580 Fort Collins, CO 80521 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT BUT FAILURE TO DO SO SHALL IS NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER ITS AGENTS OR ACORD 25 (2001108) 1 of 2 #M396392 DXS 0 ACORD CORPORATION 19BO IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s) DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing msurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon AGUKU 25-5 (2UUl/Ud) 2 of 2 #M396392